Covered recipient · General Payments record

CLARK BUTLER

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1841776630
CMS profile: 5046980
Location: JEFFERSON CITY, MO

General Payments · PY2019–2024

$5,153.27

Reported across 324 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,470.67

88 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,470.67	88

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$287.42	19
Acerta Pharma LLC	$238.71	8
Novo Nordisk AS	$195.71	16
ABBVIE INC.	$170.65	13
Amgen Inc.	$100.73	6
Teva Pharmaceuticals USA, Inc.	$88.57	4
Lundbeck LLC	$73.78	4
Otsuka America Pharmaceutical, Inc.	$39.49	2
Merck Sharp & Dohme Corporation	$35.37	2
Ardelyx, Inc.	$34.71	2
Exact Sciences Corporation	$34.55	2
Sumitomo Pharma America, Inc.	$32.83	2
PFIZER INC.	$31.76	2
Takeda Pharmaceuticals U.S.A., Inc.	$23.37	1
DEXCOM, INC.	$19.22	1
Axsome Therapeutics, Inc.	$19.03	1
Janssen Pharmaceuticals, Inc	$17.95	1
NOVARTIS PHARMACEUTICALS CORPORATION	$13.75	1
Phathom Pharmaceuticals, Inc.	$13.07	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$10.51	1
PY2020	$10.97	1
PY2021	$375.81	26
PY2022	$1,848.83	113
PY2023	$1,436.48	95
PY2024	$1,470.67	88

Payment records · PY2024 (88)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$21.74	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1103398563	CMS
ABBVIE INC.	$8.28	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1103398565	CMS
ABBVIE INC.	$21.68	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1103398567	CMS
ABBVIE INC.	$6.81	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1103398569	CMS
ABBVIE INC.	$9.63	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1103398571	CMS
ABBVIE INC.	$31.11	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1103398573	CMS
ABBVIE INC.	$13.76	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1103398575	CMS
ABBVIE INC.	$8.75	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1103398577	CMS
ABBVIE INC.	$16.62	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1103398579	CMS
ABBVIE INC.	$4.19	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1103398581	CMS
ABBVIE INC.	$6.46	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1103398583	CMS
ABBVIE INC.	$5.83	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1103398585	CMS
ABBVIE INC.	$15.79	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1103398587	CMS
Amgen Inc.	$15.03	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1117214890	CMS
Amgen Inc.	$15.85	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1117214892	CMS
Amgen Inc.	$20.87	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1117214896	CMS
Amgen Inc.	$16.65	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1111540419	CMS
Amgen Inc.	$14.41	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1111540421	CMS
Amgen Inc.	$17.92	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1117214894	CMS
Ardelyx, Inc.	$16.88	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1146673304	CMS
Ardelyx, Inc.	$17.83	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1146673306	CMS
AstraZeneca Pharmaceuticals LP	$16.84	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1104522028	CMS
AstraZeneca Pharmaceuticals LP	$114.39	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1105692331	CMS
AstraZeneca Pharmaceuticals LP	$24.92	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1105649502	CMS
AstraZeneca Pharmaceuticals LP	$18.02	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104556446	CMS
AstraZeneca Pharmaceuticals LP	$15.03	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105547365	CMS
AstraZeneca Pharmaceuticals LP	$13.89	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1105751601	CMS
AstraZeneca Pharmaceuticals LP	$14.26	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1105499970	CMS
AstraZeneca Pharmaceuticals LP	$21.36	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1104293116	CMS
Axsome Therapeutics, Inc.	$19.03	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1148272615	CMS
Dexcom, Inc.	$19.22	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1153292709	CMS
Exact Sciences Corporation	$13.96	06/08/2024	Food and Beverage	Undisputed	01/23/2026	1114603929	CMS
Exact Sciences Corporation	$20.59	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1114603932	CMS
Janssen Pharmaceuticals, Inc	$17.95	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1078058136	CMS
Lilly USA, LLC	$15.25	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1136125509	CMS
Lilly USA, LLC	$14.37	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1136128189	CMS
Lilly USA, LLC	$13.34	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1136104402	CMS
Lilly USA, LLC	$17.48	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1136106585	CMS
Lilly USA, LLC	$15.77	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1136118601	CMS
Lilly USA, LLC	$11.65	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1136128191	CMS
Lilly USA, LLC	$14.42	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1136102810	CMS
Lilly USA, LLC	$21.95	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1136099790	CMS
Lilly USA, LLC	$20.51	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1136106587	CMS
Lilly USA, LLC	$21.68	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1136099786	CMS
Lilly USA, LLC	$16.66	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1136113924	CMS
Lilly USA, LLC	$20.12	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1136099792	CMS
Lilly USA, LLC	$15.57	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1136125511	CMS
Lilly USA, LLC	$15.14	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1136104404	CMS
Lilly USA, LLC	$2.25	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1136125507	CMS
Lilly USA, LLC	$16.33	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1136128187	CMS
Lilly USA, LLC	$15.69	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1136102808	CMS
Lilly USA, LLC	$1.25	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1136099788	CMS
Lilly USA, LLC	$17.99	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1136106583	CMS
Lundbeck LLC	$13.70	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1145901748	CMS
Lundbeck LLC	$25.38	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1145901750	CMS
Lundbeck LLC	$17.42	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1145901752	CMS
Lundbeck LLC	$17.28	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1145901754	CMS
Merck Sharp & Dohme LLC	$17.00	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1141810204	CMS
Merck Sharp & Dohme LLC	$18.37	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1141980585	CMS
Novartis Pharmaceuticals Corporation	$13.75	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1086645917	CMS
Novo Nordisk Inc	$12.97	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1096778602	CMS
Novo Nordisk Inc	$22.31	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1096753103	CMS
Novo Nordisk Inc	$7.46	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1097407807	CMS
Novo Nordisk Inc	$8.50	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1096927002	CMS
Novo Nordisk Inc	$15.47	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1096866393	CMS
Novo Nordisk Inc	$16.78	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1097307696	CMS
Novo Nordisk Inc	$13.62	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1096578673	CMS
Novo Nordisk Inc	$11.17	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1097323285	CMS
Novo Nordisk Inc	$14.78	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1097054871	CMS
Novo Nordisk Inc	$14.99	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1097069687	CMS
Novo Nordisk Inc	$15.33	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1096903315	CMS
Novo Nordisk Inc	$14.35	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1096689947	CMS
Novo Nordisk Inc	$12.78	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1097494821	CMS
Novo Nordisk Inc	$0.50	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1096654385	CMS
Novo Nordisk Inc	$10.44	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1096615752	CMS
Novo Nordisk Inc	$4.26	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1096898529	CMS
Otsuka America Pharmaceutical, Inc.	$18.88	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1118869538	CMS
Otsuka America Pharmaceutical, Inc.	$20.61	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1118869540	CMS
PFIZER INC.	$17.13	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1131225811	CMS
PFIZER INC.	$14.63	09/02/2024	Food and Beverage	Undisputed	01/23/2026	1131981671	CMS
Phathom Pharmaceuticals, Inc.	$13.07	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1152803247	CMS
Sumitomo Pharma America, Inc.	$18.35	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1148834005	CMS
Sumitomo Pharma America, Inc.	$14.48	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1148834007	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.37	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1137500243	CMS
Teva Pharmaceuticals USA, Inc.	$15.27	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1151557347	CMS
Teva Pharmaceuticals USA, Inc.	$24.72	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1151557436	CMS
Teva Pharmaceuticals USA, Inc.	$26.05	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1151557460	CMS
Teva Pharmaceuticals USA, Inc.	$22.53	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1151557464	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.